Request edit access
"Grief to Grace" Scholarship Application
Pending board approval, scholarships are available up to $750. Proof of income may be required. Please answer the following questions:
Sign in to Google to save your progress. Learn more
Name *
Email *
Mailing Address *
Phone number *
What is your birthday? *
What is your annual household income? If considered for scholarship, proof of income may be required. *
Are you a single parent? *
Are you a survivor of sex trafficking? *
Are you a survivor of clergy abuse or a member of the clergy? *
Have you experienced sexual abuse at some point in your life? *
Have you ever seen a therapist or are you currently seeing a therapist? If yes, please indicate for how many months/years. If no, please indicate why you have not. *
Please explain why you would like to attend the Grief to Grace retreat. *
Please list any classes, seminars, workshops, retreats etc. you have attended related to healing  and/or deliverance: *
Please indicate the amount of financial assistance you are requesting: *
If granted a scholarship, would you prefer to receive payment via check or via Venmo? *
If you answered "Venmo" above, please leave your Venmo account username below:
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Seraphim Project. Report Abuse